95-101697 �� �b a� �
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CITY OF FEDERAL WAY T T�T ,�+ pT PERMI7 N0: BLD95��0572
33530 Fi rst Way South �� 1. �,L+�.h ��'i � �I�� .,1. � ISSUED: 08/02/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 01/29/96
ADDRESS:2611 5 288TH ST Unit: 74
NO. : 283920-0740
PROJECT DESCRIPTION:AES ADDITION - CONSTAUCTIOH OF 176 SQFT DECK COVER.
Parkuood Lanes, #74
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IAENE SOBUS ��� OMHER IS CONTRACTOR #��
2611 S 288TH ST, !74 !
FEDERAI WAY WA 98003
941-7059
$�# NONE �*� �
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=is CONTRACTORS, PIEASE USE LOCATION fODE 1732 YNEN REPQRTIN6 SALES TAX F�t PR0IECTS NITNIA TNE CITY OF FEDERAL YAr. TAX RATE = 8.2� ;##
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BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DNELLING UNITS: 1 COMP PLAN.........:LDR FEES:
TYPE OF NORK:ADD USE:RES 1ST.: 0: O:sf STORIES........: 1 REQUIRED PARKIN6..: 2 SPRINKLERS?......:? PLAN CHECK FEE = 35.10
CENSUS CATE60RY.....:�34 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAIARD CLASS...:? fINAI PLAN CNECK...� = 0.00
OCCUPANCY 6ROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS-•----- FIRE FLOW....: 0 gp� BUILDIt16 PERMIT....$ : 54.00
:U1 :? :? :? : OTHR: 0: 176:sf EXIST..=: 0 fRONT.........: 1U.00 ft SBCC SURCHAR6E.....� = 4.50
TYPE Of CONSTRUCTIOM----- BSMT: 0: O:sf PROP...=: 2059 SIDE..........: 10.00 ft NATER SERVICE..:FED `�
:5N :? :? :? . DECK: 0: O:sf RfAR........... 10.00:ft SEMER SERVIfE..:FED
OCCUPANT LOAD------------ 6AR.: 0: O:sf RECEIYED.:01�25/95 '�
. 0: 0: 0: 0: TOTL: 0: 116:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
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FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS MATER CLOSETS......: 0 URIHALS........: 0 TOTAL FEES $ 93.60 �
IS PIPIN6.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATN TUBS..........: 0 DRINKING FOUMT.: 0 :
� FURN<100K..: 0 DUCT MORK.....: 0 3-15 HP.....: 0 SHOiiERS............: 0 SUMPS..........: 0
t.
6AS HIiT....: 0 MOOD STOVES...: 0 15-30 NP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 ,,
fONV BURNER: 0 FURM>100K.....: 0 30-50 HP....: 0 SINKS..............: 0 DRAIHS.........: 0 �
BBQ........: 0 MISC..........: 0 5+ HP.......: 0 DISH MASHERS.......: 0 LAMN SPRIHKLERS: 0 �
6AS DRYER..: 0 AIa HAHDLING UHITS FUEL TANKS--------- ELEC iiTR HEATERS...: 0 OTHER FIXTURES.: 0
RAN6E......: 0 r-10,000 CFM: 0 ABOVE 6ROUMD: 0 LAUN MSNR OUTLTS...: 0 ;
6AS L06S...: 0 > 10,000 CFM: 0 UiIDER6R0UMD.: 0
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PERMITS EXPIaE 1� DAYS AFTER ISSIIANCE IF NO MORC IS STARTED. RESIDENTIAL AND 6'RABIN6 PERMITS p(PIRE ONE YEAR AFTER DATE OF ISSUANCE. �
I CERTIFY TIa1T TNE INFORIIATION FlNtMISHED ME IS T E AND CORRECT TO TNE BEST OF MY [MOMlED6E AND TNf APPLIUIBLE CITY OF FEDERAL YA1 REWIREMENTS YIII BE MET. �
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OiINER OR A6ENT �-�-'��1� � __ �� DATE �-� ��_
FIIE COPY `�w���y�5 a
�„�F G City of Federal Way
�; � .�� . � ,;. �.��€�.��ry,���
` APPLICATION FOR BUILDING PERMIT
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PLEASE PR/NT ' APPL/CAT/ON #: �Lv"( ��0���
SITE LOCATION Address
Tenant (if known) L.ot # Assessor's Tax #
----_ - 2�i��1'2 �' � �U
\ � Building Own�Name � Address �
x " r e vt E. � : ,S o b �. 5 ��//S : ��'� S-�'. � 7
CitY�� � �' (� State C�—. Z�P �� ,� U CJ _3 Phone � �� ' '1 G ,`)
Nature of Work �
APPLICANT
Name (F,M,L)
Address
> •
�-
City State Zip
Cont�c�.P�s9nn, ,1� Day P ne� � _ � Other Phone Fax
LIV
BUILDING CONTRACTOR '
Company Name �
l.l, � � `-
� Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT ' �
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
P/ease Com,o%te Reverse Side
_ CD0492(Rev 4/93)
STRUCTURE Existing Use ��T �L� Proposed Use `��T-�C� Cd VL- �Z
Permit includes: �Building ❑ Plumbing ❑ Mechanical ❑ Other R,
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck +
❑ Commercial � Addition ❑ Garage ❑ Shed � Other �
� 1
E�ter 1 st Floor sq ft 2nd Floor sq ft 3rd Fioor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area �'](� sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ �C�G�
Zoning Lot Size �-q X 7� Existing Bldg Valuation s �0 �oG
L�NDER
Name Address
City State Zip
MECHANICAL CONTIZACTOR
Contractor Name Address
City State ip
Contact Phone � Fax
License # Expiration Dat � // Verified ❑ Yes ❑ No
`• /
PLUMBING CONTRACTORI �'\
Contractor Name �ddress
i
City �' State Zip
Contact �\` j J Phone Fax
/
License # � Expiration Date Verified ❑ Yes ❑ No
/
%
/
PLUMBING FIXTURE COUNT /�
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washe Drinking Fountains Other
Showers Electric,VV6ater Heaters Sumps
Lavatories Washing Machine Drains Total Fixture'ICount
i
MECHANICAL:UNTT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFI�1 15-30 Tons
Length of Gas Piping '` Range Air Handling > = 10,000 CFM 30-50 Tons
Fum <100K BTUs i Gas Log Unit Heater 50+ Tons
Furn >100 BTUs � Fans Miscellaneous Fuel Tanks
Gas Hwt % Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Totai'Unit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowiedge and further that I am authorized by the owner
of the above premises to perform the work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,
and attorneys'fees incurred in investigation and defense of such claim�,which may be made by a�y person,including the undersigned,and filed against the City of Federal Way,
but only where such claim arises out of the reliance of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
XOwner/Agent: ��y V�-� Y t/ ' . �-�-'`� Date: ���� J � C/ �/